J Korean Radiol Soc.  2004 Mar;50(3):195-198. 10.3348/jkrs.2004.50.3.195.

Intrahepatic Cholangiocarcinoma with Sarcomatous Change: Case Report

• Kim TE
• Kim JH
• Kim BY
• Lee IK
• Kim IS

• KMID: 2199847
• DOI: http://doi.org/10.3348/jkrs.2004.50.3.195

Abstract

Cholangiocarcinomas have several histologic types, but intrahepatic cholangiocarcinoma with sarcomatous change is rare. A 71-year-old man was admitted to our hospital because of fever which had lasted two months. Ultrasonography (US) of the upper abdomen demonstrated a huge hepatic mass with central solid and peripheral cystic portions, and computed tomography (CT) revealed a heterogeneous hepatic mass with a central area in which enhancedment was delayed. Magnetic resonance imaging (MRI) disclosed a huge mass of predominantly low signal intensity at T1WI, and peripheral portions of high signal intensity and a central portion of intermediate signal intensity at T2WI. The pathologic diagnosis was cholangiocarcinoma with sarcomatous change.

Keyword

Liver, neoplasms; Liver, US; Liver, CT; Liver, MR

MeSH Terms

Abdomen
Aged
Cholangiocarcinoma*
Diagnosis
Fever
Humans
Magnetic Resonance Imaging
Ultrasonography